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    • 4. 发明申请
    • METHOD OF OPTIMIZING THE TREATMENT OF PHILADELPHIA-POSITIVE LEUKEMIA WITH IMATINIB MESYLATE
    • 利用肌醇六磷酸酯优化治疗菲律宾阳性淋巴细胞的方法
    • WO2010065433A1
    • 2010-06-10
    • PCT/US2009/066045
    • 2009-11-30
    • NOVARTIS AGMEDVET SCIENCE PTY. LTD.WANG, YanfengKALEBIC, TheaHUGHES, Timothy PeterWHITE, Deborah
    • WANG, YanfengKALEBIC, TheaHUGHES, Timothy PeterWHITE, Deborah
    • A61K31/506A61K35/02
    • A61K31/506
    • The present invention relates to a method of treating Philadelphia-positive leukemia (Ph+ leukemia), in a particular chronic myeloid leukemia (CML), in a human patient population. More specifically, the present invention pertains to a method of treating Ph+ leukemia, such as CML or Ph+ ALL, in a human patient suffering from Ph+ leukemia comprising the steps of (a) administering a predetermined fixed amount of Imatinib as a free base or in the form of a pharmaceutically acceptable salt thereof to the human patient, (b) collecting at least one blood sample from the patient, e.g. within the first 12 months of treatment, (c) determining the plasma trough level (Cmin) of Imatinib, (d) determining the OCT-1 Activity in the blood sample, and (e) adjusting the dose of Imatinib applied to the individual patient in a manner that an Imatinib Cmin value is achieved in the patient of at least 800 ng/mL, if in step (c) an Imatinib Cmin value of less than 800 ng/mL is found and in step (d) an OCT-1 Activity is found below 6.0 to 10.0 ng/200,000 cells..
    • 本发明涉及在人类患者群体中治疗特定慢性骨髓性白血病(CML)中的费城阳性白血病(Ph +白血病)的方法。 更具体地,本发明涉及在患有Ph +白血病的人类患者中治疗Ph +白血病(例如CML或Ph + ALL)的方法,包括以下步骤:(a)施用预定的固定量的伊马替尼作为游离碱或 其药学上可接受的盐的形式提供给人类患者,(b)从患者收集至少一种血液样品, 在治疗的头12个月内,(c)确定伊马替尼的血浆谷值(Cmin),(d)确定血液样品中的OCT-1活性,和(e)调整施用于个体患者的伊马替尼剂量 如果在步骤(c)中发现伊马替尼Cmin值小于800ng / mL,并且在步骤(d)中OCT-1 活动发现低于6.0至10.0ng / 20万个细胞。
    • 8. 发明申请
    • METHOD OF TREATMENT OF PHILADELPHIA CHROMOSOME POSITIVE LEUKAEMIA
    • 治疗菲律宾染色体阳性白血病的方法
    • WO2011038467A1
    • 2011-04-07
    • PCT/AU2010/001295
    • 2010-10-01
    • CSL LIMITEDHIWASE, Devendra, KeshaoraoHUGHES, Timothy, PeterLOPEZ, Angel, FranciscoVAIRO, Gino, Luigi
    • HIWASE, Devendra, KeshaoraoHUGHES, Timothy, PeterLOPEZ, Angel, FranciscoVAIRO, Gino, Luigi
    • A61K39/395A61K31/4439A61K38/00A61K31/122A61K31/497A61P35/02
    • C07K16/2866A61K31/122A61K31/4545A61K31/497A61K31/506A61K38/1793A61K38/193A61K38/202A61K39/3955A61K39/39558A61K45/06A61K47/642A61K47/6867C07K2317/24C07K2317/52C07K2317/732A61K2300/00
    • The invention provides a method for the treatment of Ph+ leukemia in a patient comprising administering to the patient (i) a BCR-ABL tyrosine kinase inhibitor, and (ii) an agent which selectively binds to a cell surface receptor expressed on Ph+ leukemic stem cells. The invention further provides for the use of (i) and (ii) in, or in the manufacture of a medicament for, the treatment of Ph+ leukemia in a patient; and a composition for the treatment of Ph+ leukemia in a patient comprising (i) and (ii); and kits comprising (i) and (ii). In some embodiments, the tyrosine kinase inhibitor is or is not imatinib; or is selected from the group consisting of dasatinib, nilotinib, bosutinib, axitinib, cediranib, crizotinib, damnacanthal, gefitinib, lapatinib, lestaurtinib, neratinib, semaxanib, sunitinib, toceranib, tyrphostins, vandetanib, vatalanib, INNO-406, AP24534, XL228, PHA-739358, MK-0457, SGX393 and DC2036; or is selected from the group consisting of dasatinib and nilotinib. In some embodiments, the agent binds to a receptor involved in signalling by at least one of IL-3, G-CSF and GM-CSF. In some embodiments, the agent is a mutein selected from the group consisting of IL-3 muteins, G-CSF muteins and GM-CSF muteins. In some embodiments, the mutein is an IL-3 mutein. In some embodiments, the agent is a soluble receptor which is capable of binding to IL-3.
    • 本发明提供了一种用于治疗患者中Ph +白血病的方法,包括给予患者(i)BCR-ABL酪氨酸激酶抑制剂,和(ii)选择性结合在Ph +白血病干细胞上表达的细胞表面受体的药剂 。 本发明进一步提供(i)和(ii)在治疗患者中Ph +白血病的药物中的用途或制造中的用途; 和包含(i)和(ii)的患者中用于治疗Ph +白血病的组合物。 和包含(i)和(ii)的试剂盒。 在一些实施方案中,酪氨酸激酶抑制剂是或不是伊马替尼; 吉西他滨,拉帕替尼,雷他替尼,奈替尼,semaxanib,舒尼替尼,toceranib,噻吩霉素,凡多他尼,瓦拉西尼,INNO-406,AP24534,XL228等组成的组,或者选自由dasatinib,尼罗替尼,bosutinib,axitinib,cediranib,crizotinib, PHA-739358,MK-0457,SGX393和DC2036; 或选自由达沙替尼和尼罗替尼组成的组。 在一些实施方案中,所述试剂通过IL-3,G-CSF和GM-CSF中的至少一种与涉及信号传导的受体结合。 在一些实施方案中,试剂是选自IL-3突变蛋白,G-CSF突变蛋白和GM-CSF突变蛋白的突变蛋白。 在一些实施方案中,突变蛋白是IL-3突变蛋白。 在一些实施方案中,所述试剂是能够结合IL-3的可溶性受体。